Whether a 70-year-old esophageal cancer patient needs surgical treatment depends on the patient’s specific condition and assessment of the patient’s whole body. One is to understand the clinical stage of esophageal cancer, whether there is metastasis from other parts, and the other is to clarify the patient’s physical condition and check whether there is any serious underlying disease.1.Recommended surgery: 70-year-old esophageal cancer patients, if the patient is in the early to middle stage of esophageal cancer, no metastasis from other parts, and has a good general physical condition, no serious underlying disease, and no major problems in heart and lung function, surgery can be considered Surgery can significantly improve swallowing after surgery. Surgery can significantly improve the symptoms of dysphagia and prolong the survival time of patients, endoscopic surgery can be chosen to reduce the surgical trauma to patients, and nutritional support should be paid attention to patients throughout the treatment to ensure the nutritional supply for postoperative recovery; 2. Surgery is not recommended: 70-year-old esophageal cancer patients, if they are in the late stage of esophageal cancer, have metastasis from other parts, have poor general condition, such as in recent months New cerebral infarction, severe hypertension, serious heart disease, etc., surgical treatment may aggravate the primary disease or physical intolerance, so surgical treatment is not recommended, and a comprehensive treatment method of chemotherapy or targeted therapy can be adopted to prolong patients’ survival time.